| Titre : | Callosal Hyperintensities and Gait Speed Gain From Two Types of Mobility Interventions in Older Adults (2015) |
| Auteurs : | Neelesh K. Nadkarni ; Subashan Perera ; Stephanie A. Studenski |
| Type de document : | Article |
| Dans : | Archives of Physical Medicine and Rehabilitation (2015/6, 2015) |
| Article en page(s) : | p. 1154–1157 |
| Langues: | Anglais |
| Descripteurs : |
HE Vinci Cognition ; Exercice physique ; Rééducation et réadaptation |
| Mots-clés: | Cerebral Small Vessel Diseases ; Maladies des petits vaisseaux cérébraux ; Corpus callosum ; Corps calleux ; Exercise ; Mobility Limitation ; Mobilité réduiteRehabilitation |
| Résumé : |
Objective To assess whether the volume of callosal hyperintensities in the genu and splenium of older adults with mobility impairment is differentially associated with the degree of gain in gait speed after 2 types of gait interventions. Design Single-blind randomized controlled trial of 2 types of gait exercises in older adults. Setting Research center in an academic institution. Participants Ambulatory adults (N=44) aged ≥65 years with a slow and variable gait. Intervention Twelve-week physical therapist–guided trial of a conventional walking, endurance, balance, and strength (WEBS) intervention (n=20) versus a timing and coordination of gait (TC) intervention (n=22). Main Outcome Measure Gain in gait speed after the intervention and its relation to callosal hyperintensities in the genu and splenium of the corpus callosum. Results Gait speed improved in both the WEBS group (mean change, 0.16m/s) and the TC group (mean change, 0.21m/s; both P<.05 the volume of white matter hypertintensities in genu was differentially associated with gait speed gain genual wmh interaction p=".05)." greater related to a smaller webs group but not tc group. splenial> Conclusions Callosal hyperintensities differentially influence gait speed gain by the type of gait rehabilitation. Mobility impaired older adults with genual hyperintensities may benefit from a rehabilitation program focused on motor skill learning rather than on strength and endurance training. |
| Disponible en ligne : | Oui |
| En ligne : | https://login.ezproxy.vinci.be/login?url=https://www.sciencedirect.com/science/article/pii/S0003999314011332 |
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